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Bextra FDA Warning

In November 2002, the U.S. Food and Drug Administration (FDA) issued a warning about Bextra (valdecoxib). This warning comes less than a year after the drug was approved. The FDA also mandated product label changes for Bextra. Pfizer/Pharmicia, the manufacturer of Bextra, sent letters to thousands of physicians alerting them to the new warnings.

Bextra was approved by the FDA on November 2001 and went to market in March 2002. It was approved for the relief of the symptoms of osteoarthritis, adult rheumatoid arthritis, and primary dysmennorhea.

The FDA has received about 20 reports of serious reactions among Bextra users since sales began. Reactions include skin diseases such as:

Other users have experienced hypersensitivity, including anaphylactic reactions. The FDA estimates that over one million people have taken the drug since it first went on sale.

Text of the Bextra Warnin

http://www.fda.gov/bbs/topics/ANSWERS/2002/ANS01170.html
November 15, 2002

FDA and Pharmacia are advising health care professionals about new warnings and information in the product labeling of the drug Bextra (valdecoxib), a drug approved for treatment of osteoarthritis, rheumatoid arthritis and dysmenorrhea (menstrual pain). The labeling is being updated with new warnings following postmarketing reports of serious adverse effects including life-threatening risks related to skin reactions -- including Stevens Johnson Syndrome, and anaphylactoid reactions (serious allergic reactions). In addition, the labeling will state that the drug is contraindicated -- not to be used -- in patients allergic to sulfa containing products.

On November 13, 2002, Pharmacia, the manufacturer of Bextra sent letters to health care professionals advising them of postmarketing reports and new warnings that will be included in the drug label. Since the firm began marketing the drug in March of 2002, cases of the serious skin and hypersensitivity reactions have been reported. These included cases of Stevens Johnson syndrome, toxic epidermal necrolysis, exfoliative dermatitis and erythema multiforme. Although these adverse events are rare, some of these patients required hospitalization. Based on these reports, FDA has approved labeling changes for Bextra that include a warning for serious skin reactions. As these reactions can be life threatening, people who start Bextra and experience a rash should discontinue the drug immediately.


Bextra Warning

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